Medical school: NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduated: 1989
NPI: 1841252111
Practice Locations (2)
571 TERRACE BLVD
Depew, NY 140433610
571 TERRACE BLVD
DEPEW, NY 140433610
7166836737
Source: CMS National Downloadable File, September 2026.